Measurements of eye lens doses in interventional radiology and cardiology: Final results of the ORAMED project

Vanhavere, F.; Carinou, E.; Domienik, J.; Donadille, L.; Ginjaume, M.; Gualdrini, G.; Koukorava, C.; Krim, Selim R.; Nikodémová, D.; Ruiz-López, N.; Sans-Mercé, M.; Struelens, Lara

doi:10.1016/j.radmeas.2011.08.013

Cited by 150 publications

(89 citation statements)

References 9 publications

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“…A rich source of data describing lens dose in IR was provided by the optimization of radiation protection of medical staff (ORAMED) study [14]. ORAMED was designed to acquire standardized data on lens and extremity exposure in IR and IC procedures, with lens doses quantified for nearly 1300 procedures across 34 institutions.…”

Section: Quantifying Lens Exposure In Interventional Radiologymentioning

confidence: 99%

“…Analyzing cardiologists performing coronary angiography, Maeder showed that shielding reduced DAP-normalized lens dose by a factor of 19 [59]. In the ORAMED study, ceilingsuspended shields reduced lens dose in embolization and ERCP but not lower limb angiography [14]. The authors state that ineffective shielding likely occurred when the shield was improperly placed.…”

Section: Techniques For Minimizing Lens Exposurementioning

confidence: 99%

“…A primary weakness of the shielding approach, however, is that shielding cannot be utilized in all procedures due to space constraints. There also seems to be variability in shield efficacy related to the specifics of shield positioning [14,60], and further research is needed to clarify optimal shield position for various access points. In addition, research should further explore specialized systems that combine multiple shielding materials for comprehensive protection [62,63].…”

Section: Techniques For Minimizing Lens Exposurementioning

confidence: 99%

“…Despite the need for excellent stereotactic vision in interventional work, interventionists often pay little attention to basic lens protection practices, with data showing that leaded eyeglasses are worn by \30 % of operators [13,14] and dosimeter use is inconsistent [15]. This practice is believed to relate to either discomfort associated with leaded glasses or a lack of knowledge regarding radiation safety [16].…”

Section: Introductionmentioning

confidence: 99%

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Radiation-Induced Cataractogenesis: A Critical Literature Review for the Interventional Radiologist

Seals

Lee

Cagnon

et al. 2015

Cardiovasc Intervent Radiol

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Extensive research supports an association between radiation exposure and cataractogenesis. New data suggests that radiation-induced cataracts may form stochastically, without a threshold and at low radiation doses. We first review data linking cataractogenesis with interventional work. We then analyze the lens dose typical of various procedures, factors modulating dose, and predicted annual dosages. We conclude by critically evaluating the literature describing techniques for lens protection, finding that leaded eyeglasses may offer inadequate protection and exploring the available data on alternative strategies for cataract prevention.

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Section: Quantifying Lens Exposure In Interventional Radiologymentioning

confidence: 99%

Section: Techniques For Minimizing Lens Exposurementioning

confidence: 99%

Section: Techniques For Minimizing Lens Exposurementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Radiation-Induced Cataractogenesis: A Critical Literature Review for the Interventional Radiologist

Seals

Lee

Cagnon

et al. 2015

Cardiovasc Intervent Radiol

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“…y 21 if goggles are not used and if the workload is .400 procedures per year. There is an agreement that eye lens doses should be monitored with typical workloads in the range of 400-900 (8,9) procedures per year. Different options are available to estimate eye lens doses in personal dosimetry, from personal dosemeters to be used over the protective apron (11) to specific H p (3) dosemeters to be carried at an eye level (12) .…”

Section: Introductionmentioning

confidence: 99%

Measurements of eye lens doses in interventional cardiology using OSL and electronic dosemeters

Sanchez¹,

Vañó²,

Fernández³

et al. 2014

Radiation Protection Dosimetry

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The purpose of this paper is to test the appropriateness of OSL and electronic dosemeters to estimate eye lens doses at interventional cardiology environment. Using TLD as reference detectors, personal dose equivalent was measured in phantoms and during clinical procedures. For phantom measurements, OSL dose values resulted in an average difference of 215 % vs. TLD. Tests carried out with other electronic dosemeters revealed differences up to + + + + +20 % versus TLD. With dosemeters positioned outside the goggles and when TLD doses were >20 mSv, the average difference OSL vs. TLD was 29 %. Eye lens doses of almost 700 mSv per procedure were measured in two cases out of a sample of 33 measurements in individual clinical procedures, thus showing the risk of high exposure to the lenses of the eye when protection rules are not followed. The differences found between OSL and TLD are acceptable for the purpose and range of doses measured in the survey.

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A multicenter study of radiation doses to the eye lenses of clinical physicians performing radiology procedures in Japan

Nagamoto

Moritake

Nakagami

et al. 2021

Journal of Occupational Health

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Measurements of eye lens doses in interventional radiology and cardiology: Final results of the ORAMED project

Cited by 150 publications

References 9 publications

Radiation-Induced Cataractogenesis: A Critical Literature Review for the Interventional Radiologist

Radiation-Induced Cataractogenesis: A Critical Literature Review for the Interventional Radiologist

Measurements of eye lens doses in interventional cardiology using OSL and electronic dosemeters

A multicenter study of radiation doses to the eye lenses of clinical physicians performing radiology procedures in Japan

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